KENT WALLACE

PA-C, ARNP specializing in physician assistant in Everett, Washington

NPI: 1770662835

Provider Type

1

Practice Locations

Mailing Location

PO BOX 3360

PROVIDENCE HEALTH & SERVICES

PORTLAND, OR 97208

📞 8663662983

Practice Location

1321 COLBY AVE

MEDICAL STAFF OFFICE (PMG)

EVERETT, WA 98201

📞 4252612000

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:11/2/2006
Last Updated:2/6/2015

Credentials

Primary Credential:PA-C, ARNP
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